Improving Success Rate of the Adductor Canal Block by Standardizing Technique: An Evidence Based Practice Project
Abstract
Background or Problem/Issue: The success of peripheral nerve blockade is an important determinant of patient satisfaction and length of stay after surgery. Recent evidence suggests that success rates for ACB can be as high as 94%. However, the success rate for ACB at KACC is 77%.Clinical Question or Purpose: The purpose of this project is to find the best technique for ACB and standardize ACB at KACC. Project Design: This is a pre- and post- implementation performance improvement project to standardize adductor canal blocks at KACC. Analysis of the Results: Success rates of ACB before and after standardization were similar. Prior to implementation, the success rate was approximately 77%. Following standardization, the success rate was 76%. The volume of local anesthetic was reduced to 20 mLs with no reduction in efficacy. Organizational Impact/Implications for Practice: Standardization of ACB did not improve the block success rate. However, we were able to reduce block volume by 10 ml, minimizing the potential for local anesthetic toxicity.
Document Details
- Document Type
- Technical Report
- Publication Date
- Feb 02, 2018
- Accession Number
- AD1128384
Entities
People
- Jared Hartman
- Sean Hutchison
- Stephanie Wallace
Organizations
- Uniformed Services University of the Health Sciences